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Exam (elaborations)

CHAM (CERTIFIED HEALTHCARE ACCESS MANAGER) MEDICARE QUESTIONS ACTUAL QUESTIONS WITH CORRECT VERIFIED SOLUTIONS LATEST UPDATED VERSION

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CHAM (CERTIFIED HEALTHCARE ACCESS MANAGER) MEDICARE QUESTIONS ACTUAL QUESTIONS WITH CORRECT VERIFIED SOLUTIONS LATEST UPDATED VERSION

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Uploaded on
April 25, 2025
Number of pages
47
Written in
2024/2025
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Exam (elaborations)
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FACHE-
Questions and correct answers 2024 graded
u u u u u u




A+
u u




Which of the following statements related to mediation is not true?
u u u u u u u u u u




A. useful when both parties wish to have a continued relationship
u u u u u u u u u u




B. Legally binding
u u




C. uses a neutral 3rd party
u u u u u




D. first step in a process to find a solution - answer-B
u u u u u u u u u u u




Which of the following is not an executive office function
u u u u u u u u u




A. Lead
u




B. Support
u




C. Control
u




D. Represent
u




E. Organize - answer-C
u u u




The difference between Allopathic and Osteophathic Medicine is the O
u u u u u u u u u


steophathic medicine concentrates on u u u




A. developing a germ theory of disease causation
u u u u u u u




B. increasingly efficiently surgery in the 19th century
u u u u u u u




C. effective chemical therapies in the 20th century
u u u u u u u




D. Manipulative methods of detecting and correcting structural proble
u u u u u u u u


ms - answer-D
u u

,FACHE-
Questions and correct answers 2024 graded
u u u u u u




A+
u u




For which item are healthcare orgs not required to report MDs to federa
u u u u u u u u u u u u


l information bank based on federal Health Care Quality Improvement
u u u u u u u u u u


Act Title IV of PL 100-177 of 1986?
u u u u u u u




A. loss of credentials for any period >30 days
u u u u u u u u




B. suspension of privileges for failure to complete medical
u u u u u u u u




C. voluntary surrender of privileges to avoid investigation
u u u u u u u




D. any malpractice settlement - answer-B
u u u u u




The "gag rules" that some managed care orgs have issued are defined
u u u u u u u u u u u u


as

A. a contractual provision between plan and provider that limits inform
u u u u u u u u u u


ation, advise, and counsel that provider may give a pt
u u u u u u u u u




B. anti criticism provisions in contracts that prohibit providers from ma
u u u u u u u u u u


king any communication that may adversely affect confidence in the pl
u u u u u u u u u u


an

C. any health plan practice that inhibits open communication between
u u u u u u u u u u


a physician and patient
u u u




D. All - answer-D
u u u




What is the purpose of the Health Care Quality Improvement Act, Title I
u u u u u u u u u u u u


V of PL 100-177 of 1986?
u u u u u




A. improve quality of care
u u u u




B. reduce the chance of incompetent MD moving to a new location
u u u u u u u u u u u




C. reduce change for MDs to misrepresent his or her skills
u u u u u u u u u u




D. B&C u

,FACHE-
Questions and correct answers 2024 graded
u u u u u u




A+
u u




E. all - answer-D
u u u




Which of the following is not an LIP?
u u u u u u u




A. certified nurse midwife
u u u




B. podiatrist
u




C. pharmacist
u




D. Dentist - answer-C
u u u




Current forces for change to healthcare delivery system from a fee for
u u u u u u u u u u u u


service to managed care include all but the following:
u u u u u u u u




A. lack of incentives for fee for service model
u u u u u u u u




B. increased cost to employers
u u u u




C. overall societal believe that optimal use of limited resources is more
u u u u u u u u u u u u


appropriate than maximal use u u u




D. Need to increase efficiency in the overall health system - answer-A
u u u u u u u u u u u




From the "management & managers" chapter in "managing in the healt
u u u u u u u u u u


h services environment", one conceptualization of the roles of manage
u u u u u u u u u


rs views them as playing a trinity of roles:
u u u u u u u u




A. designer, leader, strategist
u u u




B. Developer, despot, diviner
u u u




C. creator, coordinator, theorist
u u u




D. educator, expert, evaluator - answer-A
u u u u u

, FACHE-
Questions and correct answers 2024 graded
u u u u u u




A+
u u




Which of the following statements is in accordance with the principle o
u u u u u u u u u u u


f delegation?
u




A. the executive who subscribes to the principle of delegation knows w
u u u u u u u u u u u


hat he/she wants to accomplish and exercises control over the work sc
u u u u u u u u u u u


hedule of subordinates u u




B. an executive explains how he/she wants things done and points out
u u u u u u u u u u u u


how the subordinate's contribution fits into the overall plan
u u u u u u u u




C. a successful executive gives instructions, telling subordinates exac
u u u u u u u u


tly how and in what sequence things should be done
u u u u u u u u u




D. in applying the principle of delegation, an executive makes relatively
u u u u u u u u u u


few decisions personally and frames orders in broad general terms -
u u u u u u u u u u u


answer-D
u




The liability of the "employer" of those who may or may not be in its em
u u u u u u u u u u u u u u u


ploy but permitted to provide services to those being served by the "e
u u u u u u u u u u u u


mployer" is known as u u u




A. respondeat superior
u u




B. breach
u




C. vicarious liability
u u




D. defamation - answer-C
u u u




An organization's "hurdle rate" refers to which one of the following
u u u u u u u u u u




A. interest rate on borrowed funds
u u u u u




B. propensity for debt financing
u u u u
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